Filing Details

Accession Number:
0001209191-12-019665
Form Type:
4
Zero Holdings:
No
Publication Time:
2012-03-22 20:58:00
Reporting Period:
2011-11-21
Filing Date:
2012-03-22
Accepted Time:
2012-03-22 19:58:00
SEC Url:
Form 4 Filing
Issuer
Cik Name Symbol Sector (SIC) IRS No
1466301 Clovis Oncology Inc. CLVS Pharmaceutical Preparations (2834) 900475355
Insiders
Cik Name Reported Address Insider Title Director Officer Large Shareholder Other
935463 H Paul Klingenstein One Embarcadero Center, Suite 4000
San Francisco CA 94111
Yes No No No
Reported Non-Derivative Transactions
Sec. Name Acquisiton - Disposition Date Amount Price Remaning Holdings Equity Swap Involved Form Type Code Nature of Ownership Explanation
Common Stock Acquisiton 2011-11-21 728,239 $0.00 728,239 No 4 C Indirect By Aberdare Ventures IV, L.P.
Common Stock Acquisiton 2011-11-21 14,534 $0.00 14,534 No 4 C Indirect By Aberdare Partners IV, L.P.
Common Stock Acquisiton 2011-11-21 158,439 $0.00 886,678 No 4 C Indirect By Aberdare Ventures IV, L.P.
Common Stock Acquisiton 2011-11-21 3,162 $0.00 17,696 No 4 C Indirect By Aberdare Partners IV, L.P.
Common Stock Acquisiton 2011-11-21 391,478 $13.00 1,278,156 No 4 P Indirect By Aberdare Ventures IV, L.P.
Common Stock Acquisiton 2011-11-21 7,813 $13.00 25,509 No 4 P Indirect By Aberdare Partners IV, L.P.
Equity Swap Involved Form Type Code Nature of Ownership Explanation
No 4 C Indirect By Aberdare Ventures IV, L.P.
No 4 C Indirect By Aberdare Partners IV, L.P.
No 4 C Indirect By Aberdare Ventures IV, L.P.
No 4 C Indirect By Aberdare Partners IV, L.P.
No 4 P Indirect By Aberdare Ventures IV, L.P.
No 4 P Indirect By Aberdare Partners IV, L.P.
Reported Derivative Transactions
Sec. Name Sec. Type Acquisiton - Disposition Date Amount Price Amount - 2 Price - 2
Common Stock Series A-1 Preferred Stock Disposition 2011-11-21 507,119 $0.00 174,868 $0.00
Common Stock Series A-1 Preferred Stock Disposition 2011-11-21 10,122 $0.00 3,490 $0.00
Common Stock Series A-2 Preferred Stock Disposition 2011-11-21 507,119 $0.00 174,868 $0.00
Common Stock Series A-2 Preferred Stock Disposition 2011-11-21 10,122 $0.00 3,490 $0.00
Common Stock Series B Preferred Stock Disposition 2011-11-21 1,097,661 $0.00 378,503 $0.00
Common Stock Series B Preferred Stock Disposition 2011-11-21 21,909 $0.00 7,554 $0.00
Common Stock 5% Convertible Note due 2012 Disposition 2011-11-21 0 $0.00 158,439 $0.00
Common Stock 5% Convertible Note due 2012 Disposition 2011-11-21 0 $0.00 3,162 $0.00
Remaning Holdings Exercise Date Expiration Date Equity Swap Involved Transaction Form Type Transaction Code Nature of Ownership
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 No 4 C Indirect
0 2012-05-25 No 4 C Indirect
0 2012-05-25 No 4 C Indirect
Footnotes
  1. Each share of Series A-1 Preferred Stock, Series A-2 Preferred Stock and Series B Preferred Stock automatically converted into the Issuer's Common Stock on a 2.9 for 1 basis immediately prior to the closing of the Issuer's initial public offering on November 21, 2011. The shares have no expiration date.
  2. The outstanding principal and accrued and unpaid interest on the Convertible Notes automatically converted into shares of Common Stock immediately prior to the closing of the Issuer's initial public offering at the Issuer's initial public offering price per share.
  3. The Reporting Person is a Managing Director of Aberdare GP IV, L.L.C. ("Aberdare GP IV") which serves as the sole General Partner of Aberdare Ventures IV, L.P. ("Aberdare Ventures IV") and Aberdare Partners IV, L.P. ("Aberdare Partners IV"). As such, the Reporting Person shares voting and investment control over the securities owned by Aberdare Ventures IV and Aberdare Partners IV, and may be deemed to own beneficially the securities held by Aberdare Ventures IV and Aberdare Partners IV. Aberdare GP IV however owns no securities of the Issuer directly. The Reporting Person disclaims beneficial ownership of the shares held by Aberdare Ventures IV and Aberdare Partners IV except to the extent of his proportionate pecuniary interest therein.